Theresa Campeggio Sergotick, MS, CCC-SLP in Bothell, WA - Medicare Speech-Language Pathologist Provider

Theresa Campeggio Sergotick, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Bothell, Washington. Her current practice location is 19801 N Creek Pkwy, Suite 200, Bothell, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 984-2655.

Theresa Campeggio Sergotick is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073054243.

Contact Information

	Theresa Campeggio Sergotick, MS, CCC-SLP
	19801 N Creek Pkwy, Suite 200, Bothell, WA 98011-8240
	(425) 984-2655
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theresa Campeggio Sergotick
Gender	Female
Speciality	Speech-language Pathologist
Location	19801 N Creek Pkwy, Bothell, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073054243
Provider Enumeration Date: 03/20/2017
Last Update Date: 03/20/2017

Medicare PECOS Information:

PECOS PAC ID: 6709329626
Enrollment ID: I20240620002058

Medical Identifiers

Medical identifiers for Theresa Campeggio Sergotick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073054243	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Theresa Campeggio Sergotick allows following entities to bill medicare on her behalf.

Provider Name	Seattle Childrens Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theresa Campeggio Sergotick is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Theresa Campeggio Sergotick, MS, CCC-SLP 19801 N Creek Pkwy, Suite 200, Bothell, WA 98011-8240 Ph: () -	Theresa Campeggio Sergotick, MS, CCC-SLP 19801 N Creek Pkwy, Suite 200, Bothell, WA 98011-8240 Ph: (425) 984-2655

Reviews and Comments

Speech-Language Pathologist in Bothell, WA

Emily Ann Holmes, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19021 120th Ave Ne Ste 102, Bothell, WA 98011 Phone: 425-486-7710 Fax: 425-483-6059
Nicole Lynn Mcdonald, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2430 238th Pl Se, Bothell, WA 98021 Phone: 425-837-7500
Tonya Ward, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3330 Monte Villa Pkwy, Bothell, WA 98021 Phone: 425-408-6000
Mr. Shu-sheng Liao, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 21910 24th Ave Se Unit B, Bothell, WA 98021 Phone: 425-231-1779
Brooke Sakowicz, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3330 Monte Villa Pkwy, Bothell, WA 98021 Phone: 425-408-6000
Mrs. Lea Carollo, MS. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 632 195th St Se, Bothell, WA 98012 Phone: 916-849-1511

Theresa Campeggio Sergotick, MS, CCC-SLP - Medicare Speech-Language Pathologist in Bothell, WA